3049.0: Monday, November 13, 2000 - 12:30 PM

Abstract #11628

Assessing the impact of efforts to improve service system integration during the ACCESS demonstration program

Joseph P. Morrissey, PhD1, Michael O. Calloway, PhD1, Joseph Coccoza, PhD2, and Henry Steadman, PhD2. (1) Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Airport Road, Chapel Hill, NC 27599, (919) 966-5829, joe_morrissey@unc.edu, (2) Policy Research Associates, Inc, 265 Delaware Avenue, Delmar, NY

This presentation focuses on the first question underlying the ACCESS demonstration program: can social service delivery systens be integrated? The data consist of implementation measures of system integration strategies as well as interorganizational network indices that reflect the actual levels of system integration achieved by the 18 ACCESS communities. The network indices are based on data from over 1000 organizations. Both the implementation and system integration measures are available at four time points: 1994, 1996, 1998, and 2000. Findings will be discussed in terms of their policy and practice implications as well as directions for further research.

Learning Objectives: 1. Did implementation strategies lead to actual system integration changes in ACCESS? 2. What are the main differences between "intent-to-implement" and "as-implemented" analyses? 3. How was system integration measured using network techniques? 4. How was implementation measured using ratings by site visitors?

Keywords: Service Integration, System Involvement

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA